Doctors at Nanavati Max Super Speciality Hospital have achieved a significant medical milestone by performing India’s first robotic Strassmann Metroplasty on a young woman with a rare congenital uterine condition. The complex surgery corrected a structural abnormality of the uterus that can severely affect fertility and pregnancy outcomes. As a result, the procedure has significantly improved the patient’s chances of carrying a pregnancy safely in the future.
Patient’s Medical Challenge
A 23-year-old woman sought specialised care from Uddhavraj Dudhedia, Director and Head (Chief) of Advanced Robotic Gynaecology and the Centre for Advanced Endometriosis at Nanavati Max Hospital. She had been experiencing severe menstrual pain, irregular cycles, and three recurrent pregnancy losses in the second trimester.
Further medical investigations revealed that she had a bicornuate uterus, a congenital condition in which the uterus develops into two separate chambers instead of a single cavity. In addition, the patient also had duplication of the cervix, making the condition more complex. Such congenital uterine anomalies are rare but are associated with a higher risk of infertility, miscarriage, and preterm delivery.
Robotic Surgery to Correct the Condition
To address the abnormality, doctors recommended a robotic Strassmann Metroplasty, a reconstructive surgical procedure that joins the two halves of a divided uterus to form one unified cavity capable of supporting pregnancy.
The medical team selected the robotic approach because the surgery requires high precision to reconstruct the delicate uterine muscle and restore normal uterine structure.
How the Procedure Was Performed
Dr. Dudhedia led the surgical team, which included Anukriti Singh and Nimrah Shaikh. Using advanced robotic-assisted technology, surgeons performed the operation through small incisions while viewing the surgical field through magnified three-dimensional imaging.
During the procedure, the team carefully connected the two separate uterine chambers and removed the tissue that divided them. They then reconstructed a single unified uterine cavity. Finally, surgeons rebuilt the uterine wall in multiple layers to restore its natural shape and structural strength, a critical factor for supporting future pregnancies.
As per the press release, the surgery was completed successfully, and the patient experienced a smooth and stable recovery during her hospital stay.
Expert Perspective on the Breakthrough
Commenting on the case, Dr. Dudhedia stated that the procedure represents both a technological advancement and a source of hope for women facing similar reproductive challenges.
“This surgery represents more than a technological milestone — it represents hope for women who have been told that carrying a pregnancy safely may not be possible. Correcting the structure of the uterus can dramatically improve pregnancy outcomes in selected cases. With robotic precision, we are able to perform complex reconstruction more safely and effectively than ever before. Advanced medical care should be accessible to every woman who needs it, especially when it can redefine her reproductive future,” he said.
Expanding the Scope of Robotic Gynaecological Surgery
This case demonstrates how advancements in robotic technology are expanding the possibilities of minimally invasive gynaecological surgery in India. Procedures that previously required more invasive surgical approaches can now be performed with greater precision, reduced recovery time, and improved patient outcomes.